Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $61.66 / $66.07	Facility	26	$58.88	$61.66	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $239.88	Professional		$61.66	$109.65	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $30.20 / $95.50	Professional	26	$16.60	$30.20	$95.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $199.53	Professional		$120.23	$141.25	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $46.77 / $64.57	Professional	26	$39.81	$46.77	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $190.55	Professional		$95.50	$125.89	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $36.31 / $52.48	Professional	26	$19.95	$36.31	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $346.74	Professional		$316.23	$316.23	$346.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $177.83 / $177.83	Professional	26	$147.91	$177.83	$177.83
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $61.66 / $61.66	Facility	26	$58.88	$61.66	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $229.09	Professional		$81.28	$154.88	$229.09
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $43.65 / $58.88	Professional	26	$21.88	$43.65	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $34.67	Professional		$16.60	$32.36	$34.67
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $213.80	Professional		$128.82	$158.49	$213.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.86 / $60.26	Professional	26	$31.62	$47.86	$60.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $213.80	Professional		$75.86	$75.86	$213.80
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $23.99 / $53.70	Professional	26	$23.99	$23.99	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $371.54	Professional		$75.86	$128.82	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $44.67	Professional	26	$18.20	$25.70	$44.67